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Does community-based care have an effect on public attitudes toward the mentally ill?

Published online by Cambridge University Press:  16 April 2020

W Rössler
Affiliation:
Mental Health Services Research Unit, Central Institute of Mental Health J5, D-68159Mannheim, Germany
HJ Salize
Affiliation:
Mental Health Services Research Unit, Central Institute of Mental Health J5, D-68159Mannheim, Germany
B Voges
Affiliation:
Community Psychiatry Department, Central Institute of Mental Health J5, D-68159Mannheim, Germany
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Summary

In this cross-sectional study we have investigated the attitudes and feelings toward the mentally ill among the residents of two Central European regions which are at considerably different stages of development in moving toward community-based care, to see if we could connect differing patterns of attitudes in the two regions to the varying levels of development of psychiatric care. By using the telephone survey method, representative samples of interviewees were presented with two complexes of questions, measuring the social distance of the interviewee to the mentally ill and his/her feelings toward the mentally ill. Social rejection and feelings of the people toward the mentally ill in both regions were similar in the direction they took, however not so much in the intensity. The population of the community care area showed a slightly stronger rejection. But factor analysis clearly suggests a more rational and sophisticated position toward the patients in this population. The people living in the custodially-oriented catchment area, on the other hand, showed a more vague pattern in their attitudes.

Type
Original article
Copyright
Copyright © Elsevier, Paris 1995

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